Organization Active NPI

Channa Pittman

  • Home Health Registered Nurse
  • Saint Paul, MN
National Provider Identifier
1861246696
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
CHANNA PITTMAN
Practice address
1115 Greenbrier St
Saint Paul, MN 55106-2540
Phone
(651) 354-4228
Fax
(651) 797-4413
NPI assigned
Apr 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Channa Roxanne Pittman, RNNPI 1013158609
Title
Owner
Phone
(651) 354-4228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

1115 Greenbrier St
Saint Paul, MN 55106-2540

Mailing address

817 Marshall Ave
Saint Paul, MN 55104-6651
Phone (651) 354-4228

Other names 1

  • Channa Pittman Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Channa Pittman2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1115 Greenbrier St
Saint Paul, MN 55106
Phone (651) 354-4228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1861246696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MARSHALL AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046651",
            "telephone_number": "651-354-4228",
            "fax_number": "651-797-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 GREENBRIER ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062540",
            "telephone_number": "651-354-4228",
            "fax_number": "651-797-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANNA PITTMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "CHANNA",
        "authorized_official_middle_name": "ROXANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-354-4228",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Channa Pittman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.